Write a paper on the concept of nature as it appears in an artwork of Term

Write a on the concept of nature as it appears in an artwork of Henri Rousseau - Term Paper Example The works of Rousseau were often criticized. Throughout his works it is impossible not to recognize the hand of the master. Let us focus on his painting The Hungry Lion Throws itself on the Antelope (1905). We can see wilderness of the nature and cruelty of lion. His vision of the wild nature is rather intriguing. It looks like events developing on the background of nature are correlated with the picturesque background. In this painting it seems like trees are leaning to antelope and want to preserve it from external harm. In another painting The Dream (1910) the artist depicts a naked woman on the background of the jungles. It is interesting to see that both paintings considered, represent nature as something huge and great, which prevails over human and animals†¦In such a way, the artist conceptualized nature as something sacred. Nature for him was an integrative part of human lives and the lives of animals. Pablo Picasso felt a great respect to creative heritage of Henri Rousseau (Caldwell, 2002). He was sure that this young man was able to shock the audience. He only needed a careful and attentive attitude for his paintings. Many critics claimed that Henri Rousseau had a â€Å"touching desire to imitate nature but whose bureaucratic pursuit of detail barred the way to an  overall  impression† (Symbolism in France). His paintings were accused of absurd, but maybe those critics just did not want to see the real intention of the painter?.. Rousseau depicted a human being as an object, which could be easily transformed and weird shapes and sizes of people reflected by the author are interesting and impressive.  He was a unique artist and he managed to transfer the uniqueness of nature in his paintings. There is no doubt that in his creative mind Rousseau had many interesting ideas. Critics told that Rousseau was an â€Å"unconscious artist†. Another impressive painting is To fete Baby!  This painting has often been considered as an

Affective Personality and Primary Emotion Systems

Affective Personality and Primary Emotion Systems Affect is the subjective experiential-feeling component that accompanies bodily stimulation found in physiological aspects such as: the homeostatic drive of hunger and thirst, the external stimulation of taste and touch and the emotional stimulation of environmental events. All are compound central functions of the brain, which are triggered by perceptions, becoming experientially refined. Such affective experiences are typically conceptualized in terms of: valence, such as positive and negative feelings. Arousal; which refers to the intensity of the feeling and also power, concerning the effect of the feeling on the mental state (Panksepp, 2005). There exists a large number of affective states each representing different neuro-dynamics within the brain. Such brain systems operate as an evolutionary adaption situated in subcortical networks and lower brain regions which produce these basic affects, with learning and higher brain functions considered secondary and tertiary processes ( Davis Panksepp, 2011). Such systems are located in ancient brain regions and are predominantly homologous in all mammals. These brain systems generate instinctual behavioural responses that are closely linked to the primitive affects that accompany such activity. (Panksepp, 1998a). Panksepps theory of affective personality (Panksepp, 1998a) suggests that such affective states modulated by these systems when induced by emotional stimuli act as the basis for personality. By employing techniques such as deep (subcortical) electrical stimulation (DBS) and pharmacological manipulation, the construction of six distinct primary emotion systems (SEEK, CARE, PLAY, FEAR, ANGER and SADNESS), anchored in phylogenetically old brain areas, have been developed (Panksepp, 1998a) (Primary emotional systems are printed in capital letters, as a formal designation for primal systems in all mammalian brains and to distinguish them from the vernacular emotional terms traditionally used in emotional and personality research). The affective personality model suggests that Individual differences in these emotional systems promote varying affective states, acting as the basis for individual differences in personality. Each system influences different affective activity which can correspond to a different fundamental personality trait. The six emotional systems are divided into two categories in correspondence to their associated valence. The positive system encompasses SEEK, CARE and PLAY while FEAR, ANGER and SADNESS fall into the negative system. The first of the three positive systems can be classed as SEEK. This precipitates behaviours such as enthusiasm, curiosity and learning. It produces motivation to search for things the organism needs, craves and desires. The system is proposed to correspond with the medial forebrain bundle or the brain reward system. It has been found to be largely driven by dopamine activity following a neural circuit surrounding the ventral-tegmental area of the midbrain and medial frontal cortex (Panksepp, 2010). For instance, it is noted in Trowill, Panksepp, Gandelman (1989) how the manipulation of dopamine activity in medial frontal cortex resulted in the exhibition of coherent emotional responses representing foraging or seeking. Further studies regarding self-stimulation reward have noted a complex neuronal system for appetitive desire which mediates an articulate organismic urge to explore the environment and seek resources in response to bodily needs and external incentives (Ikemoto Panks epp, 1999). The CARE system concerns behaviours such as empathy and nurture and is argued to be more active in females then males because of an evolutionary adaptation to ensure offspring survival. It is proposed to be heavily related to hormone Oxytocin, which is more present in females then males, and has been found to be involved in trust, pair bonding, and generosity (Panksepp, 2010). It is believed to operate around a neural system in the forebrain coursing the hypothalamus, posterior lobe and the nucleus accumbens and may increase affiliative behaviour by dampening amygdala activity (Theodoridou, Rowe, Penton-Voak Rogers, 2009). For example, a study by Kirsch et al (2005) found that the manipulation of oxytocin activity around the posterior lobe increased perceptions of trustworthiness in participants. Furthermore, a fMRI study by Petrovic, Kalso, Petersson Ingvar (2008) found reduced amygdala activity to be related to increased perception of generosity. Finally, the PLAY System refers to feelings of excitement, exploration and the instinctual nature of rough and tumble play demonstrated in human childhood and most young mammals. It is believed to influence learning of social structures, and several social processes such as defeat and social-appetitive motor skills (Panksepp, 1998a). Much like the seek systems it has been found to be linked to stimulation of the ventral tegmental area via dopamine (Panksepp, 2010). Evidence of this can be seen in studies which show the behaviour to survive radical decortication with animals possessing no neocortex still exhibiting play behaviour (Panksepp, Normansell, Cox Siviy, 1994). Furthermore, placing psychostimulants such as amphetamine into the ventral striatum (nucleus accumbens) can promote stimulation of laughter and feelings of joy (Burgdorf, Knutson, Panksepp, Ikemoto, 2001) and engaging in playful activities also provokes a robust arousal of the same brain area in humans (Mobbs, Greici us, Abdel-Azim, Menon, Reiss, 2003). The first system in the negative grouping is named ANGER which relates to feeling of annoyance, displeasure and hostility and is often aroused when the seeking system is inhibited. The system is related to the activity of the neuropeptide glutamate within a neural network extending from the amygdala and hypothalamus to the periaqueductal gray (PAG) (Located in the tegmentum) (Panksepp, 2010), a region shown to influence defensive behaviour and aggression (Tovote et al, 2016). In a neuroimaging review by Bruehl, Burns, Chung Chont (2009) it was found that opioid dysfunction in the rostral anterior cingulate cortex, orbitofrontal cortex, anterior insula, amygdala, and PAG was related to direct verbal or physical expression of anger. The FEAR system influences behaviours such as alarm and panic when an organism is put in a threatening situation. The system is heavily related to the concept of flight or fight, as activation can lead organisms to flee or elicit a freezing response. It is related to neuropeptide Y and corticotropic activity stimulated by the hypothalamus (Panksepp, 2010). This system was established on the basis of experiments showing that localized DBS within an anterior hypothalamic trajectory could generate coherent fear responses and anxiety (Pankepp, 2005). Furthermore, stimulation of this system at various points along the neuroaxis resulted in animals consistently attempting to escape DBS applied to such brain sites (Panksepp, 1998a). Finally, the SADNESS system includes feelings of grief, unhappiness and regret. Relevant sub-cortical areas of control include the anterior cingulate, the bed-nucleus of the stria terminalis, the ventral septal and dorsal preoptic areas, the dorsomedial thalamus, and the PAG. Such areas have been found to linked to the detection and appraising of social processes as well the expression of negative emotion (Etkin, Egner Kalisch (2012). Some of these areas, most notably the ventral septal and dorsomedial thalamus, are known to control feelings of physical pain with shallow levels of brain stimulation within the PAG still being able to evoke emotional distress (Eisenberger, Lieberman, Williams, 2003). Similarly, it has been reported that social exclusion and depression activates anterior cingulate regions that are known to regulate pain within the human brain (Mayberg, 2004). Moreover, localized electrical stimulation of the stria terminalis can provoke crying (Herman Panksepp, 1981) with neuroimaging imaging studies highlighting similar trajectories of brain activation when experiencing intense sadness (Damasio, Grabowski, Bechara, Damasio, Ponto, Parvizi, 2000). The ANPS On the basis of such evidence for brain affective systems, it can be inferred that a great deal of variation in personality may be related to the strengths and weaknesses found the activity of these systems. This implies that evaluation of personality can be based on empirically relevant indicators along the lines of these brain systems. This precipitated the construction of the affective neuroscience personality scale (ANPS; Davis, Panksepp Normansell, 2003). Modelled after the Spielbergers State-Trait Personality Inventory (STPI; Spielberger, 1975) and based on such neurological studies, the ANPS was designed to approximate self-reported feedback concerning the individual differences of these six neural based networks. The ANPS contrast to traditional measures of personality such as questionnaires based on the five-factor model (FFM; Goldberg, 1990) which primarily focus on linguistic representations of personality. As the FFM is based on a lexical (adjective-based) approach it do es not assist in hypothesizing about neural emotional systems underlying the human personality. For example, it has been found that emotional distress is related to stimulation of the PAG (Eisenberger et al, 2003). Therefore, such neural activity can be attributed to participants indicating high levels of distress on the ANPS, whereas reporting emotional distress via a lexical-based personality tool would indicated the presence of linguistic representation rather than hinting at the neural correlates. This can be seen in a study by Montag Reuter (2013) which highlights the use of the ANPS in helping identify the monoamines and neuropeptides involved in the molecular genetic basis of personality. However, the FFM can be argued to be the most influential tool in the measurement of personality, with thousands of studies within the realms of social and cognitive psychology, genetics and psychopathology employing its use Costa McCrae (1995). Therefore, the ANPS should be able to relate to the FFM in terms of the connection between the affective systems and the traditional adjectival descriptive personality dimensions (Extroversion, Introversion, Openness, Agreeableness and Conscientiousness). Research shows a theoretical relationship between the ANPS and the FFM with each of the six ANPS sub-scales reporting a significant correlation with at least one FFM sub-scale. The most robust associations have been reported between Extraversion and PLAY, Openness and SEEK with Agreeableness positively related to CARE and negatively with ANGER Conscientiousness seems to be more weakly related with the three negative emotions. (Davis et al, 2003). Such findings make theoretical sense as many of the behavioural facets defined in each sub-scale relate to corresponding sub-scales in the other model. For example, both the SEEK system and Openness sub-scale include facets relating to curiosity. It is suggested in Davis Panksepp (2011) that the six affective systems form the foundation for substantial parts of the adult five-factor personality structure. For example, that the root of Extraversion, as defined in the FFM, may be the PLAY system. This first emerges as infant smiling, laughter, and sensitivity to tickling, then in later development as childhood games and social interaction and is elaborated in adult personalities as they as joke telling and social engagement. Personality Attachment One area in which the FFM has been greatly utilized, is adult attachment. Adult attachment is a theory designed to explain thoughts, feelings and behaviours in the context of adult relationships. The theory was first developed in Mikulincer Shaver (2003) where it was suggested that close adult relationships mirror the relationship between mother and child, where, for example, a securely attached individual is comforted when their attachments are present and anxious when they are absent. Shaver and Brenner (1992) is one of the earliest examples for the examination of the relationship between attachment and personality. Most studies in the area have focused on the associations between attachment measures and the big five personality traits. Results have generally followed theoretically predictable patterns. Since the publication of Shaver and Brennans (1992) study, several other researchers have reported correlations between a variety of different attachment measures and different mea sures of the Big Five. In general, these studies show attachment security to be moderately-negatively correlated with neuroticism and moderately-positively correlated with extraversion, agreeableness and conscientiousness. With attachment security rarely showing a correlation with openness (Noftle Shaver, 2006). Such relationships tend to situate around a r = .30 correlation, implying the sub-scales are not simply redundant with each other (Noftle Shaver, 2006). These findings are further developed in studies examining the underlying cognitive and behavioural constructs behind such a relationship. For example, it has been noted how introversion is a form of insecurity in a similar way to insecurity in attachment. An Insecure attachment occurs when a caregiver is unreliable, leading to feelings of vulnerability in the child which relates heavily to the vulnerability and anxiety sub-scales of introversion in the FFM (Thompson, 1999). More recent research has attempted to study this relationship as a possible construct in clinical realms. For example, it has been reported how early traumatization affects brain areas in emotional states which verbal treatment cannot reach, resulting in hindered personality development and attachment malfunction (Ammon, 2010). Personality and attachment profiles have also been found to be important indicators for treatment of drug addiction in patients with children as well as for relapse prevention programmes for sex-offenders (Francescade, 2014, Lu Lung, 2010). Brain imaging studies have also contributed to literature concerning attachment and personality, to a lesser degree. Studies examining the neural correlates of attachment have found several overlapping areas such as the amygdala and the midbrain nuclei to be involved in the activation of the attachment-system (Lenzi et al, 2015) as well as regulation of the SEEK system (Trowill, 1989). This connection is better illustrated in Narvaezs (2017) theory of human biosocial plasticity. It is suggested that the primary caregiver acts as an external psychobiological regulator whose behaviour helps shape the construction of the childs affective neural systems. During prenatal and perinatal life, the maturation of the neocortex is rapidly developing. Under typical developmental conditions, before four months postnatally, the connections between the amygdala and regions mediating motor activity and environmental provocations have not become fully mature (Weber, Watts, Richardson, 2003). From fi ve six months however, reactions to environmental stimuli are patterned clearly. During this development, the relationship between the caregiver and child act as a template for interactions between the self and the social environment. The infant and the caregivers attachment system provides an instrument by which the elementary nervous system of the infant can be co-constructed by the caregiver to help develop psycho-behavioural potentials patterned into the affective emotional systems (Schore, 2001, in Narvaez, 2017). This is further illustrated in a study by Farinelli et al (2015) which found a relationship between affective personality and attachment style in adults. A group of stroke patients with lesions to certain areas of the brain were compared to a group of control patients, in terms of affective personality and attachment style. It was found that those with lesions to midline regions involved in the regulation of the positive emotional system displayed significantly lower levels of SEEK, and higher levels of SADNESS and insecure attachment. Similar results were found in those with lesions to the motor cortex, with the addition of increased levels of ANGER. Dopamine activity surrounding the motor cortex and midbrain regions has been found to play a role in the modulation the ANGER system (Hosp, Pekanovic, Mengia, Rioult-Pedotti Luft, 2011). Neuroimaging studies have also focused on more specific relations between personality and attachment. Most notably, a substantial amount of research has underlined the relationship between the CARE system and the anxiety sub-type of attachment. There exists two sub-types of attachment, attachment anxiety and attachment avoidance, which refer to different measures of the construct. There are many different dimensions of attachment such as the traditional: secure, insecure avoidant and insecure anxious constructs (Ainsworth Bowlby, 1991). However, attachment anxiety and attachment avoidance refer to measures of these different dimensions Mikulincer Shaver (2003). Attachment anxiety also referred to as the model of self refers to concepts such as self-awareness and self-consciousness in the context of relationships. This is opposed to attachment avoidance or model of others which refers to ones feelings and cognitions concerning others in the relationship dynamic. Many brain imaging s tudies have focused on the activity of the neuropeptide oxytocin in terms of the CARE system and attachment anxiety. For example, there is neural evidence indicating the importance of oxytocin in helping develop the model of self during the earliest stages of attachment. Insel (2003) highlights the importance of oxytocin for facilitating mother-infant bonding, maternal urges, and solidification of social memories. It has also been found to reduce separation distress and facilitate social bonding from the infants perspective (Nelson Panksepp, 1998). This activity can be seen to relate to similar neural behaviour involved in aspects of the PLAY system, such as empathy and maternal behaviour. For example, the posterior lateral hypothalamus is involved in introspection and self-awareness (Fabbro, Aglioti, Bergamasco, Clarici Panksepp, 2015) as well as maternal behaviour, of which both are modulated by oxytocin administration (Sripada, Phan, Labuschagne, Welsh, Nathan Wood, 2013). Oxy tocin also mediates the activation of the posterior temporal sulcus, which is involved in the mentalizing and processing of self-other distinction (Decety Lamm, 2007) as well as empathy (Paulus, MÃ ¼ller, Jansen, Gazzola, Krach SÃ ¶ren, 2015).

Stereotypes and Stereotyping of Teenagers :: Argumentative Persuasive Essays

Stereotyping of Teenagers One might think we live in an age where discriminations have been cut to a bare minimum, as far as addressing them goes. Gender discrimination, racism, and discrimination towards the disabled and less fortunate have been acknowledged, dealt with, and handled. Our children are taught to take care of the elderly, help the poor, and to stare at people with disabilities. The mentally handicapped, homeless people, and foreign men and women are given jobs. Yes, one might definitely think we live in a time where peaceful equality is at its best. Then why can't I; a normal, average intelligence, respectful teenage girl, be accepted? One would think that if we can accept the poor, disabled, foreign, and homeless people regardless of race, religion, or gender; accepting a person who just chooses to dress and look differently would be easy. As I have found, such is not the case. Discrimination towards teenagers, especially the ones who chose to dress differently, is a problem. It is a problem that goes very often un-addressed. There are plenty of stereotypes, but I believe the one that is believed the most is what the stereotypical teenage "freak" is. Constantly people assume, just by looking at me, a lot of different things. I was surprised to find the number of people who just figured I was into drugs. I couldn't believe it. Apparently, because I choose to dress differently, I must be trashed all the time. However, such is not the case. Police assume we are trouble makers. I have been stopped countless times, sworn at, and threatened by arrest, for simply standing on a street corner or holding a skateboard. Meanwhile, a handful of preppy teens stand by, doing the same thing, yet not getting a word towards them. We are assumed to be on drugs and trouble makers, as well as Satanists, witches, and that we're depressed. I speak from experience. Judging based merely on an assumption wasn't just back in the days of the Salem witch hunts. Not only do people form these opinions, they also act upon them. Getting a job is horrible. I can be the most respectful, responsible person in the world, but unfortunately my eyebrow ring is "offensive". Its pathetic! Businesses will hire Mexicans and Asians who can hardly speak English, just so they are "politically correct". But apparently I don't count. I'll be walking behind a girl with a handicap, and a mother will scold her child for staring, but when I am passed, Mother stares along with Child. Am I somehow less than human? Do people think I don't notice?

Gender Role in Triffles Essay

The roles and rights of women in the Victorian era up to nineteen hundreds differ drastically from where women stand today. In the play â€Å"Trifles† by Susan Glaspell, females are portrayed to be an insignificant part of society compared to the importance of males. Susan Glaspell’s play Trifles is a murder mystery type of play that discovers and analyzes gender roles and corrupt relationships due to the Victorian time period. The typical stereo type for women in the nineteen hundreds was being nothing but a housewife. A good house wife in this time was considered to have children, take care of the children and clean the house, and there not much more to it. In the nineteen hundreds women did not have many career options, they had almost none. Women’s education was not seen as an important thing to promote. Stated by Helen Nickson in the article Life of Women in the Victorian Era, â€Å"The only role of women in the Victorian era was to get married and look after the homely chores – The ladies did not do things themselves but told others what to do. They were just supposed to marry and raise children. The women of lower class worked in the factories, garment industries, laundries or various other jobs to support themselves.†. Women were treated more like an object or a servant rather than a person or spouse. One of the main characters in the play Trifles named Hale states a short simple statement that when looked into, states a strong opinion. Hale states to another male in the play, â€Å"Well, women are used to worrying over trifles.†. This statement shows how the men in this day thought women lacked common sense or intelligence. When trying to investigate the murder in this story, the men took no part of the women’s opinions. Women’s rights have come a long way since the Victorian Era. Women had little say in just about everything whether it had to do with marriage decisions or political things. Set up marriages were a common thing women had no say in. In today’s world women can vote, support themselves and choose who they marry. Some people wouldn’t believe the simple rights women have today were fought for way back when even in the nineteen hundreds. Women had little almost no career options in the Victorian Era. The few career choices were only for single women who needed to support themselves, if one was a house wife that was there life. Men had high expectations of their own wife’s classiness and manners in public places in the nineteen hundreds. Many males were very judgmental, much in like the play Trifles, of any opinion from a women back in the day. In an online article by Rachael Hurvitz, she states â€Å"For Victorians, divorce was not only extremely expensive, it was very hard to do. Women and men stayed in unhappy marriages for numerous reasons. Many stayed away from divorce because of the stigma attached to divorced women. It was also considered a societal taboo†. Women feared divorcing the one they were married to strictly due to the opinions of others in society. In Trifles a woman ends up murdering her own husband, rather than divorcing. The investigators don’t suspect her at first strictly because she is a wife and a female. When another female suggests that the husbands wife could be a possibility, the men just laughed to each another. Before women had fought for their rights, they lacked respect from society. Women have come a long way today, now having equal rights to anything men can do, including career choices and political voting. Works Cited Glaspel, SusanTrifles Literature: Eleventh Edition Nickson, Helen. â€Å"Life of Women in the Victorian Era.† Web.: http://ezinearticles.com/?Life-of-Women-in-the-Victorian-Era&id=2359711 Hurvitz, Rachael â€Å"Women and Divorce in the Victorian Era† http://www.clas.ufl.edu/users/agunn/teaching/enl3251/vf/pres/hurvitz.htm

South African Public Hospitals Health And Social Care Essay

The words â€Å" crisis † and â€Å" wellness attention † follow each other in sentences so frequently in South Africa that most citizens have grown numb to the association. Clinicians, wellness directors and public wellness experts have been speaking about a crisis in entree to wellness attention for more than half a century, and the coming of democracy has non alleviated the state of affairs. South Africa ‘s inability to adequately react to its many crises is besides the consequence of a national health care system designed to supply intervention instead than bar. The over-dependence on hospital-based attention in South Africa non merely makes the health care system expensive and inefficient, but besides precludes much-needed investings in primary and preventive attention. Health curate Dr Aaron Motsoaledi candidly conceded that the public wellness system faces ‘very serious challenges ‘ ( Philip 2009 ) . In this reappraisal I describe the crisis in child care and its effects for the wellness of kids, characterise the implicit in grounds for the crisis, analyze current intercessions and research some medium and longer term solutions.How terrible is the crisis?It is non surprising that the populace ‘s perceptual experience of wellness services are frequently determined by narratives about the attention offered to kids presented in the media. For case, in one hebdomad in May 2010, two narratives dominated newspaper and media headlines in Gauteng. One was the decease of seven newborn babies and the infection of 16 others as a consequence of a deadly infection ( later identified as a norovirus ) acquired by the babies at the Charlotte Maxexe Johannesburg Academic Hospital. At Natalspruit Hospital in Ekhuruleni, 10 kids likewise succumbed to a nosocomial ( hospital acquired ) infection ( Bodibe 2010 ) . These types of events, with big Numberss of kids geting infections in infirmaries are non uncommon, although merely a fraction grabs the headlines. Outbreaks occur at regular intervals at infirmaries throughout the state. An eruption of Klebsiella infection was responsible for 110 babes deceasing at Mahatma Gandhi Hospital in Durban, harmonizing to the administration â€Å" Voice † that threatened a category action instance against the Department of Health. The national wellness section itself has identified infection control as one of six cardinal countries that needed betterment in the public wellness sector ( Department of Health 2010 ) . Poor wellness attention at several Eastern Cape infirmaries left more than 140 kids dead in one of South Africa ‘s poorest territories within the first three months of 2008 ( Thom 2008 ) . A undertaking squad look intoing these deceases in the Ukhahlamba territory concluded that they were non the consequence to any peculiar disease eruption or exposure to contaminated H2O as ab initio suspected, but instead that the wellness service available was hopelessly faulty. ( Report on childhood deceases, Ukhahlamba District, Eastern Cape ) The Ukhahlamba undertaking squad, comprising of three experient public sector baby doctors, painted a inexorable image of Empilisweni Hospital kids ‘s ward where most of the deceases occurred. Problems identified included: The construction and layout of the physical installation was inappropriate – no nurse ‘s station or work surfaces, no separation of â€Å" clean † and â€Å" dirty † countries and no drama or stimulation installations, The ward and cells were overcrowded and no proviso existed for boarder female parents, who paid R30 to kip on the floor next to their kids, There were grossly unequal services – no O and suction points, excessively few electrical sockets, no basins or showers and excessively few lavatories in the patient ablutions, and an unacceptable ward kitchen, Highly limited clinical equipment, Staffing deployment and rotary motion did non advance effectual attention, with few nurses dedicated to the kids ‘s ward and physicians altering wards every two months, go forthing the ward devoid of experient forces, There were limited policy paperss and no protocols or entree to allow clinical mention stuff or guidelines, Clinical patterns were uneffective or unsafe, peculiarly sing infection control and the readying and distribution of infant provenders and medical specialties, Not a individual infirmary record included inside informations about the prescribing or disposal of infant provenders. Fluid direction was severely documented. Three of the kids appeared to hold died from fluid overload due to inappropriate and unregulated fluid disposal, The bulk of the kids were ne'er weighed, their nutritionary position was non assessed nor their Hiv position established. The undertaking squad ‘s audit of 45 of the deceases revealed that most of the deceases occurred within the first 48 hours of admittance to infirmary and were in babies who were self-referred. The dominant diagnosings were diarrheal disease, pneumonia and malnutrition. The undertaking squad concluded that â€Å" These deceases are more likely the consequence of hapless attention of a vulnerable destitute community with high rates of malnutrition among the babies and hapless use of the available wellness services. † The hapless state of affairs described at Empilisweni Hospital is non alone and similar low conditions can be found at many of the pediatric wards at the 401 infirmaries in the state. While nonsubjective grounds to back up this contention does non be, pediatric practicians in many states and scenes would readily admit the veracity of the claim. The account offered by different probes of inauspicious events happening at public infirmaries countrywide is unusually similar. Uniformly, there is a combination of overcrowded wards, understaffing, overpowering work loads, a dislocation of hygiene and infection control processs, and direction failure with a deficiency of scrutinizing or supervising systems to place and react to jobs at an earlier phase.Increasing kid mortalityWhat is non combative is that South Africa is one of merely 12 states where childhood mortality increased from 1990 to 2006 ( Children ‘s Institute 2010 ) , with a doubling of deceases in kids under the age of five old ages in this period ( from about 56 to 100 deceases per 1000 unrecorded births ) . The 2010 UNICEF State of the World ‘s Children estimates South Africa ‘s under 5 decease rate to be 67 per 1000 for 2008 ( UNICEF 2009 ) . This high rate ranks South Africa 141st out of 193 states. The national statistic besides hides pronounced interprovincial fluctuations ; from about 39 per 1 000 in the Western Cape to 111 per 1 000 in the Free State ( McKerrow 2010 ) . A individual disease – HIV- is mostly responsible for the increased mortality. States with a similar economic profile ( Gross National Income [ GNI ] ) as South Africa such as Brazil and Turkey boast about quadruple lower under 5 mortality rates ( U5MR ) . South Africa ‘s high U5MR is even more confusing when compared to poorer states such as Sri Lanka and Vietnam. These two states ‘ U5MRs are approximately five times lower ( 15 and 14 per 1,000 severally ) despite holding a GNI less than one half to a 3rd of South Africa ‘s ( UNICEF 2009, World Bank 2010 ) . Despite being classified as a high in-between income state, South Africa has high degrees of infective diseases such as diarrhea, pneumonia, HIV, TB and parasitic infections usually found in poorer states. Similarly, there has been small success in cut downing undernutrition in kids – a one-fourth of South Africa ‘s kids are stunted ( short ) . Further, as a consequence of increased urbanization and economic development, the state is besides sing increasing degrees of traumatic hurts and chronic diseases of life style such as fleshiness, diabetes and cardiovascular disease that are more typical of better resourced states. These diseases chiefly affect grownup populations but are progressively being identified in kids. The deterioration in kid wellness has occurred despite important betterment in kids ‘s entree to H2O, sanitation and primary wellness services. About 3000 new clinics have been built or upgraded since 1994, wellness attention is provided for free to kids under 5 old ages and pregnant adult females ( Saloojee 2005 ) , and the kid societal support grant is making 10.5 million kids ( more than half of all kids in the state ) ( Dlamini 2011 ) . These accomplishments have been marred by several defects. Many new clinics and the territory wellness systems are non yet adequately functional because of a deficiency of forces and fundss, hapless disposal, and spread outing demands. Public third wellness attention ( academic infirmary ) services have badly eroded.Characterizing the crisisThe World Health Organization, in 2000, ranked South Africa ‘s wellness attention system as the 57th highest in cost, 73rd in reactivity, 175th in overall public presentation, and 182nd by overall d egree of wellness ( out of 191 member states included in the survey ) ( World Health Organization 2000 ) . What explains this blue evaluation? Despite high national outgo on wellness, inequalities in wellness disbursement, inefficiencies in the wellness system and a deficiency of leading and answerability contribute to South Africa ‘s hapless kid wellness results.Hospitals operate within a dysfunctional wellness systemPoor infirmary attention is but one marker of a dysfunctional wellness system that comprises splodges of independent services instead than a coherent, co-operative attack to presenting wellness attention. Most primary wellness attention services for kids are merely offered during office hours, with some clinics curtailing new patients ‘ entree to services by early afternoon – a waste of available and expensive human resources. Some clinics lack basic diagnostic trials and medicine. Consequently, many infirmary exigency suites are flooded with kids wi th comparatively minor complaints because their health professionals choose non to line up for hours at ill managed local clinics, or prefer accessing wellness services after returning from work. The referral system in which patients are referred from clinics to territory, regional or third infirmaries harmonizing to how serious their wellness jobs are has disintegrated in many parts of the state. Children who require more specialized attention frequently can non acquire it either because they get stuck within a dysfunctional system or because there is no infinite for them at the following degree of attention. Conveyance to secondary and third degree infirmaries is debatable, ensuing in holds or non-arrival, increasing the badness of the disease and intervention costs when the kid does arrive. District infirmary services are the most dysfunctional ( Coovadia 2009 ) , with patients frequently by-passing this degree of attention in scenes where entree to secondary ( regional ) or third attention ( specializer ) services are available. Despite cut-backs in budgets, third attention scenes continue to try to supply ‘first-class ‘ services, which although applaudable, may ensue in over-investigation and intervention, and denial of indispensable attention to kids who reside outside their immediate catchment countries ( because the infirmary is ‘full ‘ ) .Changing wellness environmentSome of the increasing emphasis faced by the public infirmaries may be attributed to the altering wellness environment in which they operate. Two factors are most responsible for the alteration: rapid urbanization and the AIDS epidemic. Urban, township infirmaries are peculiarly affected by the load of increased patient tonss, and hardly get bying with the demand. Although a national strategic program for HIV/AIDS exists, the ability to implement the program is constrained by the tremendous demands on human and financial resources demanded for its execution. The budget allocated to HIV/AIDS has increased from R4.3 billion in 2008 to an estimated R11.4 billion in 2010 ( 13 % of the entire wellness budget ) ( Mukotsanjera 2009 ) . New enterprises aimed at beef uping the HIV/AIDS response, include a national HIV guidance and proving run and the decentalisation of antiretroviral intervention from infirmaries to clinics with nurses now supplying the drugs. About a 3rd of kids at most South African infirmaries are HIV septic. HIV-positive kids are hospitalised more often than HIV-negative kids ( 17 % compared to 4.7 % hospitalised in the 12 months prior to the survey ) ( Shisana 2010 ) . Children with AIDS tend to be sicker and frequently require longer admittances despite enduring from the same spectrum of unwellnesss as ordinary kids. Greater Numberss of patients, higher disease sharp-sightedness degrees and complications, and slower recovery rates all impact on limited resources. High mortality rates take an emotional toll on physicians and nurses. Hospital pediatricss, which has ever been a popular and rewarding pick for freshly qualified physicians because of modern medical specialty ‘s ability to rapidly reconstruct urgently sick kids to wellness has now become much more about chronic attention bringing because of the high figure of HIV infected kids in the wards, many of whom are re-admitted on a regular basis because of perennial infections. In recent old ages, immature physicians have been dissuaded from choosing primary attention subjects, such as pediatricss, and have moved alternatively to prosecuting fortes where contact with patients is limited, such as radiology, for fright of geting HIV from work-related accidents such as needle-stick hurts. The handiness of extremely active antiretroviral ther apy to increasing figure of kids nationally, though still limited to fewer than half of all eligible kids, has the possible to return pediatricss to its old position as a rewarding and fulfilling forte.UnfairnessUnfairnesss and inequalities abound in South African wellness attention disbursement by and large, and specifically sing kids ‘s wellness. Of the R192 billion spent on wellness attention in 2008/09, 58 % was spent in the private sector ( Day 2010 ) . Although this sector merely provides attention to an estimated 15 % of kids, two-thirds of the state ‘s baby doctors service their demands ( Colleges of Medicine of South Africa 2009 ) . Furthermore, of the R90 billion provincial public wellness sector budget, approximately 14 % is spent on cardinal ( third ) infirmary services ( Day 2010 ) , which chiefly benefits kids shacking in urban scenes and wealthier states such as the Western Cape and Gauteng. Similarly, pronounced unfairnesss exist in the figure of wellness professionals available to kids in different states with, for illustration, one baby doctor serving about 8,600 kids in the Western Cape, but 200,000 kids in Limpopo ( Colleges of Medicine of South Africa 2009 ) . This differential exists among most classs of wellness professionals. The current wellness system claims to supply cosmopolitan coverage to kids. Yet, from a resourcing, service bringing and quality position, the handiness and degree of service is unjust with many patients and communities sing significant trouble in accessing the public wellness system. Rural and black communities remain most deprived. Apartheid age derived functions continue in present twenty-four hours wellness attention. Therefore, for case, while the once whites merely Charlotte Maxexe Johannesburg Academic Hospital now chiefly serves a black urban population, its resources including ward installations, staff-patient ratios and overall budget still demo a clear positive prejudice when compared to the resources available to the Chris Hani Baragwanath Hospital located in Soweto ( a former ‘black ‘ infirmary ) ( von Holdt 2007 ) . Nationally, the most stressed infirmaries are those with the lowest resources per bed. The least stressed infirmaries continue to be those with old reputes as high-quality establishments ( largely antecedently â€Å" whites merely † infirmaries ) that provide them with a sort of ‘social capital ‘ ( von Holdt 2007 ) .Management capacity crisisThe conflict for the control of infirmariesSouth Africa has embraced the construct of wellness services delivered wit hin a three-tiered national wellness system framework – national, provincial and territory. States are charged with the duty of supplying secondary or third infirmary services, with territory services holding duty for territory infirmaries and clinics. Existing legislative assembly allows hospital main executive officers ( CEOs ) considerable powers in the running of their ain infirmaries. However, there is a dysfunctional relationship between infirmaries and provincial caput offices, which frequently assume autocratic and bureaucratic control over strategic, operational and elaborate procedures at infirmaries but are unable to present on these. There is a bleary and equivocal venue of power and decision-making authorization between infirmaries and caput offices ( von Holdt 2007 ) . Hospital directors are disempowered, can non take full answerability for their establishments and are largely unable to make up one's mind on affairs such as staff Numberss and assignments, pulling up their ain budgets or playing any function in the procurance of goods and services. The structural relationship between state and establishment is a disincentive for managerial invention, giving rise to a infirmary direction civilization in which disposal of regulations and ordinances is more of import than pull offing people and operations or work outing jobs, and where incompetency is easy tolerated. Hospital directors ‘ deficiency of control undermines direction answerability and promotes subservience to the cardinal authorization. The function of provincial wellness sections should truly be about commanding policy sing preparation, occupation scaling and answerability.Silos of directionMost South African infirmaries have basically the same direction construction where authorization is fragmented into separate and parallel silos. Therefore, physicians are managed within a silo of clinicians, nurses within a nursing silo, and support staff by a mesh of separate silos for cleaners, porters, clerks, etc. The senior directors in the establishments have broad do mains of duty but with small authorization to do determinations or implement them ( von Holdt 2007 ) . As an illustration, a clinical section such as pediatricss is headed by a senior or chief pediatric specializer who has no control over the nurses in the pediatric section. In the wards, nursing directors are responsible for effectual ward operation, but have small control over ward support staff such as cleaners or clerks. A senior clinical executive ( overseer ) has duty for the paediatric ( and other ) sections, but can exert small significant authorization over it because power prevarications within each of the silos ( physicians, nurses, support workers ) . As a consequence, the clinical executive has to try to negociate with all parties. Doctors and nurses do non find budgets, or proctor and control costs. In kernel, those responsible for utilizing resources have no influence on their budgetary allotment, while those responsible for the budget presume no duty for the services that the budget supports. Most clinical caputs have no thought what their budgets are and costs are non disaggregated within the establishment to single units or wards. Therefore, what should be managed as an incorporate operational unit ( for illustration, a ward or clinical section ) operates alternatively in a disconnected manner with small clear answerability. In this circumstance all parties are disempowered, and relationships oscillate between diplomatic negotiations, persuasion, dialogue, angry confrontation, ailment and backdown. In the procedure few jobs are definitively resolved, with negative effects for patient attention. Where institutional emphasis is high, the disconnected silo constructions generate the mistake lines along which struggle and managerial failure manifest ( von Holdt 2007 ) .Fiscal crisisInsufficient outgo on wellness, infirmaries and kid wellnessBetween 1998 and 2006, South African one-year public per capita wellness outgo remained virtually changeless in existent footings ( i.e. accounting for rising prices ) , although disbursement in the public sector increased by 16.7 % yearly between 2006 and 2009 ( National Treasury 2009 ) . However, the little additions in outgo have non kept gait with population growing, or the greatly increased load of disease ( Cullinan 2009 ) . In 2009 the state spent 8.9 % of the gross national merchandise ( GDP ) on wellness ( Day 2010 ) , and easy met the World Health Organisation ‘s ( WHO ) informal recommendation that alleged developing states spend at least 5 % of their GDP on wellness ( World Health Organization 2003 ) . However merely 3.7 % of GDP was spent in the populace sector, with 5.2 % of GDP expended in the private sector ( Day 2010 ) . In per capita footings R9605 was spent per private medical strategy donee in 2009, while the public sector spent R2206 per uninsured individual ( Day 2010 ) . Although the wellness of female parents and kids has been a precedence in authorities policy since 1994, including in the latest 10 Point Plan for Health ( Department of Health 2010 ) , it has non translated into motions in financial and resource allotment. Children comprise about 40 % of the population ( Statistics South Africa 2009 ) , but it is improbable that a similar proportion of the wellness budget is spent on kid wellness. No dependable informations exist, as authorities departmental budgets do non specifically represented outgo on kids, easy leting this constituency to be short-changed or ignored.Poor financial subjectA deficiency of answerability extends throughout the wellness service, and includes the deficiency of financial subject. Provincial sections of wellness jointly overspent their budgets by more than R7.5bn in 2009/10 ( Engelbrecht 2010 ) . Provincial sections often fail to budget adequately, ensuing in the freeze of stations and the limitation of basic service proviso ( e.g. everyday kid immunization services were earnestly disrupted in the Free State state in 2009 [ Kok D 2009 ] ) . Every twelvemonth, budgetary undiscipline consequences in critical deficits of drugs, nutrient supplies and equipment in many states, peculiarly during the last fiscal one-fourth from January to March, and during April when new budgetary allotments are being released. â€Å" Stock-outs † of pharmaceutical agents, medical supplies such as germicides or baseball mitts or radiological stuff, and nutrient or baby expression, may rag staff but may hold lay waste toing effects for patients, including decease. Most of these â€Å" stock-outs † are the consequence of providers ending contracts because of failure of payment of histories. In Gauteng, medical providers are presently owed more than half a billion rand by the Auckland Park Medical Supplies Depot, the cardinal unit from which medical specialties are distributed to provincial infirmaries and clinics. The largest sums owed by the terminal are to two pharmaceutical companies ( some R130 million ) ( Bateman 2011 ) . A recent embarrassing happening is the return of R813 million to Treasury at the terminal of the past fiscal twelvemonth by the wellness section because of unexpended financess ( Bateman 2011 ) . Most of the money was budgeted to resuscitate collapsed and unfinished substructure at infirmaries. This map belongs to the Department of Public Works, and infirmaries have small influence on the operation of this separate section – a farther illustration of disconnected services. Treasury has however allocated financess for the resurgence or building of five academic infirmaries by 2015, chiefly through public private partnerships. These are Chris Hani Baragwanath in Soweto, Dr George Mukhari in Pretoria, King Edward VIII in Durban and Nelson Mandela in Mthatha, every bit good as a new third infirmary for Limpopo. Provincial wellness sections are get downing to demo modest success in rooting out fraud and corruptness, but their attempts have revealed widespread victimizing bing taxpayers one million millions of rands, much of it deeply systemic ( Bateman 2011 ) . The majority of endemic corruptness involves dishonorable service suppliers with links to identify wellness section functionaries, plundering via shade and multiple payments loaded onto payment systems. In the Eastern Cape an external audit of ‘anomalies ‘ in four wellness section provider databases revealed R35 million in extra or multiple payments in 2010 ( Bateman 2011 ) . Some 107 providers had the same bank history figure, 4 496 had the same physical reference and 165 providers shared the same telephone figure. Less sophisticated fraud involved the bribing of territory ambulance service managers to transport private patients. Larceny of equipment, medicine and nutrient is permeant, worsening bing constrictions in supply concatenation direction. Almost R120 000 worth of infant expression destined for malnourished babes or babies of HIV-positive female parents was stolen in the Eastern Cape in 2010 for which three foreign national business communities and four wellness section functionaries were arrested. Eight nurses at Mthatha ‘s Nelson Mandela Academic Hospital were arrested for allegedly stealing R200 000 worth of medical specialties ( Bateman 2011 ) . In KwaZulu-Natal, a study to the finance portfolio commission revealed 24 ‘high precedence ‘ instances affecting abnormalities, supply concatenation and human resource misdirection, overtime fraud, corruptness, nepotism, misconduct and carelessness, amounting to about R1 billion. Among others, the former wellness MEC, Peggy Nkonyeni faced charges of irregular stamp awards amounting to several million rands ( Bateman 2011 ) . Ten wellness section functionaries in Mpumalanga, including its main fiscal officer, appeared before a disciplinary court on charges of corruptness. Three separate investigations uncovered monolithic fraud and corruptness in the section, including abnormalities with stamp processs and the purchasing of unneeded infirmary equipment. Perversely, Sibongile Manana, the wellness MEC, was removed from her station by the provincial Premier, and given the Sports, Recreation, Arts and Culture portfolio. The Premier justified this determination by claiming that the reshuffle of his executive council was to rectify ‘instances of misdirection and wrongdoing ‘ uncovered by a series of forensic audits ( Bateman 2011 ) .Human resources crisisStaff deficitsStaff deficits are a critical job in most public infirmaries, and are the consequence of underfunding every bit good as a national deficit of professional accomplishments. About 43 % of wellness stations in the populace sector countryw ide are vacant, and more concerning appear to be increasing ( up from 33 % in 2009 and 27 % in 2005 ) ( Lloyd 2010 ) . Some establishments are running with less than half the staff they need, with more than two-thirds of professional nurse stations and over 80 % of medical practician stations in Limpopo unfilled ( Lloyd 2010 ) . Deficits of support workers such as cleaners and porters exacerbate the job, since nurses and physicians end up executing unskilled but indispensable maps. Deficits of nurses in peculiar are bring forthing a health care crisis in South African public infirmaries ( von Holdt 2007 ) . Nurses have a broad range of pattern, and bear the brunt of increased patient-loads, staff deficits and direction failures. Ironically, a figure of nursing colleges were closed down in the late ninetiess as portion of authorities ‘s cost-cutting steps while authorities made it really hard for foreign physicians to pattern in the state. The state of affairs is now being addressed with acknowledgment of the demand for both more nurses and physicians to be trained. However, the constricted resources available bound a speedy or meaningful response and considerable investing in new installations and trainers is required over the following decennary to turn to the current shortage. Throughout the state, physicians and nurses invariably make determinations about which patients to salvage and which to keep back intervention from based on available staff and physical resources, instead than medical standards. Because of the force per unit area on beds, kids are sometimes denied admittance to infirmaries, non referred suitably or discharged prematurely, therefore confronting the danger of impairment, backsliding or decease.Conditionss of serviceUnderstaffing and vacant professional stations and are the consequence of a figure of factors, and vary in different locations. They include failure to set up new stations despite the increased demand for services, ‘frozen stations ‘ because of deficient support being available and deficiency of appropriately qualified staff. This deficiency may be because of â€Å" pull † or â€Å" push † factors. â€Å" Pull † factors attract staff off from the public service and include out-migration and m otion to the more moneymaking private sector. â€Å" Push † factors such as hapless wages, the inability of infirmaries to fulfill the simple animal amenitiess of staff, peculiarly in rural or township scenes, and a blazing discourtesy by hospital decision makers of the professional position of staff induce staff to go forth the public service. The high decease rate of wellness workers from AIDS has farther exacerbated the accomplishments crisis. The Occupational Specific Dispensation was a step introduced to specifically turn to the hapless wages paid to nurses and physicians. Although the intercession has been successful in retaining some staff in public sector infirmaries and even luring private sector nurses and physicians back, this fiscal inducement was deficient to forestall national work stoppages by both physicians in 2009 and the full wellness sector in 2010. Much of the dissent and sadness related to conditions of service, instead than the declared difference about the size of the one-year addition of the wage bundle. The long and bruising six-week work stoppage was a sad indictment of the hapless degrees of professionalism of wellness workers, with wards full of newborn and immature babies in many infirmaries being abandoned immediately and wholly with no interim programs for their eating or attention. This necessitated exigency emptyings or alternate agreements by practicians who were willing to put their small p atients ‘ demands above those of the work stoppage action, and by concerned members of the populace. Undoubtedly, many 100s of kids ‘s lives were lost during this industrial action but the inside informations of these deceases and any attendant punitory action has been handily ignored in an effort to pacify further work stoppage action by the responsible parties.Aberrant staff behaviorAbsenteeism among wellness workers is prevailing, even at good run establishments such Durban ‘s Addington Hospital ( Cullinan 2006 ) . This is largely due to emphasize, but nurses â€Å" moonlighting † in private infirmaries to supplement their province wages is besides a factor. At infirmaries where direction was weak, such as Cecilia Makiwane Hospital in East London or Prince Mshiyeni in Durban, nurses besides turned up late, left early, and frequently ignored patient attention such as regular monitoring of critical marks ( Cullinan 2006 ) . Hospital directors ‘ abilit y to take disciplinary action is badly limited by the centralized nature of provincial wellness bureaucratisms. In many states, the provincial caput of wellness is the lone individual able to disregard staff. Hospitalised kids are the most vulnerable, since they can non demand services or recommend for their ain demands. Therefore lost provenders, failure to have prescribed medicine timeously or missed doses, inattention to supervising critical marks and holds in reacting to sudden clinical impairment are day-to-day happenings in kids ‘s wards countrywide.Service bringing crisisInadequate patient attentionThere is a crisis of caring at infirmary throughout the state. Evidence of hapless service bringing at infirmaries is disputed, ignored, and largely tolerated by readily accepting the alibi of low staff morale, staff or resource deficits and ‘no money ‘ ( Saloojee 2010 ) . The caring ethos that characterises the wellness profession has eroded to the grade that most patients are thankful for any Acts of the Apostless of kindness directed to them. Many patients can tell how their most basic demands, such as aid with eating, toileting or trouble control, have been ignored by wellness staff even in state of affairss where wards have been quiet and adequately staffed. Despite the well-known Batu Pele ( People First ) principles being conspicuously displayed in wellness Centres, few appear to be committed to their execution. The effects of this deficiency of lovingness and answerability are predictable and inevitable for kids – higher morbidity and decease. The grounds for unequal paediatric attention is good documented and significant. The Salvaging Children 2005-7 study reviewed 8060 child deceases at 51 infirmaries in all nine states of South Africa ( Stephen 2009 ) . The sites represented different degrees of paediatric health care functioning rural, peri-urban and urban populations. Almost one out of three deceases was considered evitable. For each kid who died during this clip there were, on norm, more than two happenings of substandard attention, one of which 1 could be attributed to clinical forces. One-third of deceases occurred during the first 24 hours in infirmary, which reflects jobs with initial appraisal and exigency attention of kids on admittance. Nevertheless, the reappraisal identified jobs in all countries of clinical attention: appraisal, direction and monitoring. In the wards, staff deficits increased increasingly during the three old ages under reappraisal. Merely 14 of 380 public sector infirmaries run into and keep criterions set by the internationally accredited not-for-profit quality betterment and accreditation organic structure, the Council for Health Service Accreditation of South Africa ( COHSASA ) ( Bateman 2007 ) . This administration has pioneered a quality betterment programme to help and promote infirmaries to work towards accomplishing significant conformity with the quality criterions, taking finally to accreditation. While many ( 243 ) infirmaries have been supported in accomplishing accreditation over the past decennary, merely 32 achieved accreditation position. Some ( 36 ) made deficient advancement or withdrew from the programme, while others ( 17 ) achieved accreditation but later ‘backslid ‘ as a consequence of non keeping criterions.Lack of answerabilityA deficiency of answerability at all degrees of the wellness system may be the best account for why awkward public presentation has been tolerated for so long. Accountability requires public functionaries to be answerable for specific actions, activities or determinations to the populace ( from whom they derive their authorization ) . Accountability besides means set uping standards to mensurate public presentation, every bit good as inadvertence mechanisms to guarantee that criterions are met. Concentrating on answerability is hence of import for advancing capacity development and public presentation. In the absence of any provincial or territory degree monitoring of deceases or quality of attention, the hapless or negligent public presentation of some wellness establishments continues unbridled. A ‘culture of averageness ‘ dominates. Merely the occasional patient or job attracts media attending, normally because of a catastrophe sufficient to raise major concern from wellness governments, who normally act to penalize the ‘guilty party ‘ instead than to rectify or turn to the implicit in causes and jobs built-in in the system. A disturbing but of import set of contemplations on the public presentation of the wellness sector was provided by the amalgamate national and single provincial studies of the Integrated Support Teams commissioned by the so Minister of Health, Barbara Hogan ( Barron 2009 ) . Despite being ready in May 2009, the studies were merely available publically after being leaked in late 2010. The amalgamate study was scathing approximately many issues observing a deficiency of: national guidelines, norms and criterions, alliance between planning, execution and monitoring and rating, managerial answerability for the attainment of service related marks, an sanctioned policy and overarching model, and lucidity sing functions and duties ( e.g. between monitoring and rating, strategic planning and programme divisions [ e.g. HIV, TB, Maternal and Child Health ] ) . The national wellness section has been loath to set up clear norms and criterions for a figure of cardinal countries such as human resources ( e.g. figure of nurses per pediatric bed ) , equipment or budgets. This is likely related to a fright of the existent possibility of a tribunal challenge if it is found desiring in its ain criterions. The effect is a farther deficiency of answerability as no 1 can be held accountable for non presenting to a criterion that does non be. This state of affairs is now being addressed through the constitution of an Office of Health Standards conformity at the national degree.SolutionsFrom the description presented, it should be clear that a solution to the wellness crisis in general, and for hospital attention of kids in peculiar, is complex, multi-layered, requires the intercession of multiple histrions and activities, demands new and reallocated resources and will necessarily be a long-run procedure. Many wellness professionals desperation, non cog nizing how to act upon or consequence alteration in such a complicated and dysfunctional system, and prefer to make nil, trusting alternatively that some Jesus ( such as the Minister of Health ) will repair everything. The wellness curate himself recognises the demand to â€Å" pass the whole wellness system † and considered the wellness attention system unsustainable, â€Å" highly expensive † , healing and â€Å" hospicentric † ( The Star 2011 ) . Despite there being no quick holes, a figure of short- and medium-term solutions could significantly better the state of affairs. The limited range of this paper prevents an in-depth geographic expedition of these thoughts, but many should be obvious based on the item presented earlier. However, even obvious solutions can be impossible to implement in some environments. I summarise some of the cardinal intercessions required below. A major hindrance to adequate attention at province infirmaries is managerial disempowerment. Considerable investing in direction capacity and systems is required to get the better of current direction palsy, and optimise scarce fiscal and human resource use. A restructuring of the relationship between provincial caput offices and public infirmaries is a precedence, as is the empowering of hospital direction and augmentation of their competences. There is acknowledgment and understanding at the highest degrees, including the Presidency, about the demand for this. In his 2011 State of the Nation Address, Jacob Zuma, emphasised the demand for assignment of appropriate and qualified wellness forces. Provincial caput offices should release their chokehold on infirmaries and an insisting on micro direction and dressed ore alternatively on policy, scheme and monitoring of direction public presentation. Hospital directors should hold the authorization to run their ain infirmaries and be held accountable for this without undue intervention from caput offices, harmonizing to hold concern, budget and public presentation programs. Hospital organizational constructions should be based on clear operational units. A unit such as pediatricss should hold clear lines of authorization and answerability and silo maps should be disintegrated. An every bit crippling precedence is the deficiency of competent staff. In footings of supply, nurses preparation colleges are being reopened and medical schools being encouraged to increase admittance Numberss, with a clear penchant for pupils arising from rural or distant scenes since they are more likely to return at that place on finishing their preparation. The Occupational Specific Dispensation has made public sector wages much more attractive and competitory. A more hard job to get the better of is the inability of infirmary and provincial decision makers to appreciate the demand to handle wellness professionals as valuable assets whose demands need to be respected instead than sing them as easy dispensable trade goods. Task shifting, where undertakings that can be performed by less trained staff with specific accomplishments are allowed to pull off some conditions within their competence, is acknowledged to be a utile manner to cover with the accomplishments shortage. Better service bringing can be promoted through the coevals of norms and criterions, and the application of these including monitoring of conformity. Widening the Child Healthcare Identification Programme ( CHIP ) system of scrutinizing of deceases to all infirmaries in the state offers another mechanism for quality control, even though this attack merely scrutinises events in those kids with the worst results, i.e. decease. Measures and processs that extract answerability from wellness professionals, directors and decision makers are urgently needed, but few have succeeded to day of the month. Civil society has been outstanding in advancing action for HIV and AIDS and could play a more powerful function for the wider wellness docket in South Africa. A provincial administration policy is required which makes proviso for the creative activity of a cell of senior regional clinicians to supervise the map of the assorted major fortes throughout the state. Therefore, the regional baby doctor, for case, would be required to supervise the development and execution of norms and criterions for the physical substructure and equipment of kids in all infirmaries in his/her part. This person would be tasked to turn to issues of unfairness, every bit good as better synchronism between clinics and infirmaries and take constrictions in the referral system. A specific demand for pediatricss is a committedness to greater resource allotment for kids ‘s wellness. A recent exercising conducted in Gauteng estimated that an extra ( fringy ) investing of merely R4 billion over five old ages ( or R70 per capita ) in kid wellness could salvage the lives of 14,283 kids and cut down the U5MR by 50 % , about run intoing the provincial Millennium Development Goal mark for 2015. This extra investing would necessitate less than 5 % of the current provincial wellness budget ( Gauteng Department of Health 2009 ) . Not all of this needs to be ‘new ‘ money – much, but non all, of the money could be obtained through cut downing present inefficiencies. The authorities will present a new National Health Insurance in 2012. Detailss of this are still sketchy soon and its impact on child care at infirmaries is hard to foretell. It is chiefly a wellness attention financing mechanism, raising financess from taxpayers and users of the private wellness sector to buy wellness attention benefits for the broader population. The Minister of Health has claimed that the NHI would present ‘universal coverage and better health care in one united health care system ‘ ( The Times 2009 ) . Sceptics argue that it can and will make little to turn to the built-in defects in the wellness bringing system outlined in this paper. Many of the recommendations made in this subdivision are non new and good recognised and some have been accepted by wellness sections antecedently. However, there is limited grounds of their execution and even less grounds of their successful execution. However, islands of excellence remain in the public wellness service, many making this is the face of the same fiscal and logistical restraints as everybody else. The challenge is placing how to acquire everybody else to emulate these success narratives and retroflex their consequences. Children ‘s lives depend on making this quickly.

Dong Chang Essay Example

Dong Chang Essay Example Dong Chang Essay Dong Chang Essay Background: Dong Chang, a secret police and service sets up by eunuchs during the Ming Dynasty in 1420 and direct under the leadership of the Ming Dynasty. Dong Chang is founded by Zhu Di (the King, Emperor). Although there was a current organization â€Å"Jin Yi Wei† over that period of time, Zhu Di did not trust that organization. Therefore, Zhu Di revolted a number of eunuchs and turned into a very strong organization. Zhu Di believes eunuchs are more reliable. Analyze the Organization (Strategy, size, management, environment, external relationship): The leader of Dong Chang is eunuch called â€Å"Chang Gong†. The punishment and spy departments are the major departments for Dong Chang. Dong Chang has a strict hierarchy of authority. The position is named by the number of staffs. For example, â€Å"Hundred† means that the officer can manage one hundred staffs. Dong Chang is a large organization which covered over Ming Dynasty which is larger than current China and small counties nearby Ming Dynasty. Each type of work have special name. For example, there are officials of various ministries to monitor North Korea, and secretary to watch/to hear the prison criminals in the entire local government. Dong Chang is not only in institutions, but with reasonable staffing in the investigation developed action system. The management is quiet simple. First day of every month their investigation would focus on the work arrangement. Dong Chang’s function is to investigate the plotters and heresies as great wickedness. Dong Chang is powerful as Jin Yi Wei, one person in charge and gives the right to do to follow it. At the beginning, Dong Chang is only responsible to the investigation, arrests, and the rights to without trial the prisoners. But at late of the Ming Dynasty, Dong Chang has its own prison. Dong Chang has the right to monitor government officials, scholars, and other political forces because Dong Chang only needs to report to the emperor. Therefore, because Dong Chang is a special secret service, all officials and scholars are afraid about it, so the external relationship is limited. But Dong Chang does not need to care about the external relationship because its power is too strong and has the right to arrest and kill all people. Critique the Structure of the Organization: Dong Chang is only responsible to the emperor they can do whatever they want. There is no privacy, no one can say no to them. They are watching/hearing every move every word of people. They only trust themselves. They are using an autocracy system. Therefore, sometimes even they carry out illegal actions no one can punish them which is bad and why it fails eventually. A good organization should care about the complaint and to improve, not â€Å"Autocracy†. Insights and Recommendations: This type of organization structure has been around for centuries which placed the CEO (emperor) at the top and everyone else was arranged in layers down below, as illustrated in the diagram above. The emperor gave authority to Dong Chang’s leader (Chang Gong) but one must still report to the emperor for any kind of activities. With hierarchy of authority and specific rules and procedures, bureaucracy control is taking place. However, this approach has many disadvantages such as slow response to new opportunities, unforeseen threats like terrorist attacks, or organizational crises. Our recommendation is to use a temporary structure to respond to an emergency or crisis situation. This means that it still get to maintain the efficiency and control benefits of bureaucracy yet prevent the problem of slow response. The hierarchical side with its rules, procedures, and chain of command maintain control and ensure obedience to rules that have been developed and tested over many years to cope with well-understood problems and situations. However, during times of high uncertainty, the most effective structure is one that loosens the lines of command and enables people to work across departmental and hierarchical lines to anticipate, avoid, and solve unique problems within the context of a clearly understood mission and guidelines. This would be more effective in any type of military organization.

Discussing Pregnancy And Motherhood Privileges Social Work Essays

Discussing Pregnancy And Motherhood Privileges Social Work Essays Discussing Pregnancy And Motherhood Privileges Social Work Essay Discussing Pregnancy And Motherhood Privileges Social Work Essay Pregnancy and maternity is a important portion of womens lives. In fact, maternity is a privilege that lone adult females can see. However, non all adult females experience privileged about going a female parent. Knowles and Cole ( 1990 ) suggest that there is an increasing figure of instances wherein soon-to-be female parents are non happy about their gestation either because of their current matrimonial relationship, the biological male parent of the babe is non responsible plenty to give emotional and fiscal support, or merely because they have negative past experiences such as being sexually or physically abused by their ain parents, brothers, or relations ( Knowles and Cole 1990 ) . Due to high incidence of unhappy pregnant adult females and female parents, the figure of female perversion besides increases. Sexual maltreatment towards kids or the act of bring downing injury towards her ain organic structure or the kid s organic structure is considered as female perversion in the sense that sexually mistreating her ain kids, bring downing injury towards one s ain organic structure or her kid s organic structure is wholly the antonym of the true construct of maternity and muliebrity. Welldon ( 2008 ) argues that female perversion is frequently expressed by bring downing suicidal injury caused by biological or hormonal upsets that usually affects their generative significance ( Welldon 2008 ) . Unlike male perversion, research workers highlight that female perversion purposes at doing physical injury against their ain organic structure or against the objects that they created, including their babes ( Welldon 2008 ; Springer-Kremser et Al. 2003 ; Richards 1990 ) . Motz ( 2001 ) acknowledges that there are many ways in which female perversion could do physical injury towards her ain organic structure. Since perverse adult females place their ain organic structure as their female parents organic structure, perverse adult females is capable of assailing their ain organic structure through self-mutilation or self-starvation ( Motz 2001 ) . Other marks of perverse adult females include, as Balsam ( 2008 ) and Somers and Block ( 2005 ) note are: the act of exhibitionism wherein the adult female shows off her organic structure as a manner of demoing her active sex life and pleasance they get during reproduction and sexual promiscuousness ( Balsam 2008 ; Somers and Block 2005 ) . In the instance of perverse female parents, Banning ( 1989 ) explains that they attack their ain kids as a manner of showing their violent retaliation ( Banning 1989 ) . Assorted research workers note that perverse female parents are frequently guilty of infanticide, improper abortion, and hiding a birth ( Fraser 2008 ; Spinelli 2004 ; Tekell 2001 ; Boswell 1984 ) . Boswell ( 1984 ) suggest that infanticide instances usually occurs when the female parent abandon their baby in out-of-door topographic points in order him or her to decease from hypothermia, carnal onslaught, hungriness, or desiccation ( Boswell 1984 ) . In some instances, as Spinelli ( 2004 ) high spots, infanticide can besides go on by deliberately smothering the baby utilizing a pillow or submerging the baby in a bathing tub ( Spinelli 2004 ) . Spinelli ( 2004 ) and Tekell ( 2001 ) argue that that regardless of whether maternal infanticide instances happened because of postpartum mental unwellness or psychosis, schizophrenic disorder, or strictly because of disregard on the portion of the female parent or carer, infanticide outside the construct of mental unwellness is clearly a offense under the jurisprudence ( Spinelli 2004 ; Tekell 2001 ) . Postpartum mental unwellness or psychosis is a sort of mental unwellness that can happen because of excessively much blood flow that passes through the encephalon ( Meyer, Proano and Franz 1999 ; Cox 1988 ) . In some instances, as Rapaport ( 2006 ) high spots, the pattern of lactation could go a land for mental perturbations among female parents who has merely given birth to a babe ( Rapaport 2006 ) . Fraser ( 2008 ) besides argues that biological and hormonal instabilities cause important alterations in the temper such as agitation, craze, and psychotic beliefs on the portion of the female parents ( Fraser 2008 ) . Aside from biological or hormonal upsets, other common factors that can trip female perversion, as research workers suggest, include the early exposure to maternal maltreatment and disregard, alcohol addiction, the usage of illegal drugs, and stress related to socio-economic jobs ( Barnett 2006 ; Motz 2001 ) . Peter ( 2008 ) suggests that when a immature miss is physically or sexually abused or neglected in the yesteryear, the hereafter relationship of the abused might take to confusion between the appropriate and inappropriate sexual activity, particularly if the relationship is an opprobrious 1. Since the negative experience with adult male could farther damage their self-image and psychological operation, the victim s ability to go good female parent will besides negatively affected ( Peter 2008 ) . Barnett ( 2006 ) besides notes that childhood experiences such as a immature miss who failed to have emotional support from female parents and male parents could turn up feeling devastated about their life. Because of their strong desire to arise, some adult females may stop up going unwed female parents merely to turn out their muliebrity or their ability to go more superior than another individual in this instance, their ain kids ( Barnett 2006 ) . In line with this, other surveies, Barne tt ( 2006 ) and Welldon ( 1991 ) , highlight that immature misss who were sexually abused or emotionally deprived by their female parents frequently end up every bit cocottes as a manner of retaliation. Writers besides suggest that such female parents with psychological instability will deliberately bring down physical injury on their kids ( Barnett 2006 ; Welldon 1991 ) . Welldon ( 1991 ) besides explains that perverse female parents can either be a facilitator person who is capable of accommodating to the kid s demands ; or regulator the type of female parent who anticipate that their babe is capable of accommodating to their ain demands, which the 2nd type taking more to physical maltreatment of kids ( Welldon 1991 ) . Society in general perceves female parents as a function theoretical accounts to their kids, loving, fostering. As portion of being a function theoretical account, ideal female parents should forbear from the usage of illegal substances, intoxicant and smoke dependences. Aside from modeling, educating, and fostering their kids to go good citizens, ideal female parents are expected to do their kids happy and confident by transfusing merely good values in their heads. In other words, the function of ideal female parents are non limited in feeding their kids but besides to do them experience that they are loved by non being selfish. Every adult female, on other manus, desires to be accepted socially as a good mother.In line with the strong desire to be accepted in public, the act of idealising maternity may take to denial of female perversion. As it was highlighted previuosly, perverse female parents are capable of sexually mistreating or physically harming their ain kids due of their n egative childhood experiences. By purely idealising the construct of maternity in our society, there is a strong possibility for perverse female parents will deny take parting in any signifiers of such actions. As mentioned in the old statement, assorted research workers suggest that female perversion can be noted when there is alarmingly disturbed relationship between the female parent and her baby, female parent and boy, or female parent and girl ( Peter 2008 ; Hetherton 1999 ; Banning 1989 ) . In line with this, adult females who have been neglected or deprived of love in the yesteryear or were sexually abused, could do them capable of sexually mistreating their ain kids. Although the possibility wherein perverse female parents could sexually mistreat their kids is high, Motz ( 2001 ) high spots that these type of instances are frequently under-reported because of the complex relationship or emotional fond regard that is present between the female parents and kids. The absence of concrete groundss, it would be hard to turn out that a perverse female parent is so penalizing their kids physically or sexually particularly when the kid is excessively immature to speak and support themselves against their opprobrious female parents ( Motz 2001 ) . As a portion of idealising maternity and muliebrity, the thought wherein perverse female parents are mistreating their ain kids physically or sexually is wholly non acceptable within our society. As a consequence of idealising maternity and muliebrity, there is a strong possibility wherein perverse adult females are more likely to deny their act of perversion in order to protect themselves from being humiliated and judged by the public as irresponsible, immoral, and/or cruel female parents. For this ground, Hetherton ( 1999 ) and Banning ( 1989 ) argue that idealisation of adult females could ensue to more under-reported instances particularly with respects to condemnable issues wherein female culprits would sexually mistreat a kid ( Hetherton 1999 ; Banning 1989 ) . Researchers surveies suggest that adult females s yesteryear and unsolved experiences of being sexually abused during her childhood yearss can do them prone to lower status composite which makes her an easy victim of opprobrious work forces ( Balsam 2008 ; Springer-Kremser et Al. 2003 ) . In line with this, a good illustration is drawn by Motz ( 2001 ) where a perverse female parent wherein becomes as an accoutrement of sexually mistreating her ain kids, when the hubby coerced the married woman to promote 7 and 10 year-olds, sexually abused victims, to masturbate the hubby while the married woman was taking images ( Motz 2001 ) . We can propose that in instance these two kids refused to take part in the sexual activity with the male parent, either the female parent or the male parent would physically harm the kids for noncompliance. There is besides a strong inclination for both parents to endanger these kids non to inform other people about the sexual activity that happened between them. Given that the society purely idealizes the construct of maternity, perverse female parents will continuously deny their willingness to mistreat their kids physically or sexually as a manner of protecting themselves from going involved in kid maltreatment instances. Based on the given illustration, it is possible on the portion of the perverse female parent to claim that it was the hubby who made her encourage kids to execute illicit sexual activities with the twosome. For this ground, as we may propose, it is the hubby who is more likely to confront the legal effects or penalty for prosecuting kids to take part in illegal sexual activities as compared to the perverse female parent. Harmonizing to Welldon ( 1991 ) , perversion in maternity is possible when society denies mother s perversion and idealises being a female parent. Author farther agrues that due to sexual or societal political relations, some adult females are non treated as a complete human existences because they were non born as work forces. By non leting adult females to experience wholly as human existences, there is a greater opportunity wherein of emotional instability taking female parent to ensue in perverse maternity ( Welldon 1991 ) . Sing the instances of maternal infanticide, Rapaport ( 2006 ) explained that the jurisprudence in UK has a typical statute law with respects to the act of killing babies and immature kids by their ain female parents. In line with this, adult females who are proved victims of biological or hormonal perturbation caused by immatureness or unfavourable fortunes such as colza instances are qualified for settled jurisprudence. For this ground, adult females who are guilty of maternal infanticide are free from decease punishment. Under the British s infanticide legislative act of 1922 and 1938, female parents who are guilty of killing their baby or kids because of postpartum mental unwellnesss or psychosis are exempted from capital penalty related to slaying. Author farther acknowledge us the legal charges that are most likely to be imposed on the accused female parents will be reduced to manslaughter provided that there are adequate biological grounds to turn out that the accused female pa rents are traveling through postpartum-related mental upset. Alternatively of directing the accused female parents to prison, perverse female parents who happened to be convicted of killing their babies due to post-partum syndromes are mandated to undergo hospitalization for necessary interventions ( Rapaport 2006 ) . In relation to the instance of maternal infanticide, Card ( 2002 ) explained that evil actions can be classified as either unbearable injury or blameworthy error ( Card 2002:4 ) . Since scruples plays a important factor which enables us to move good workss and avoid those that are evil, each individual should be free from mental unwellnesss when judging whether a human action is morally good or bad ( Card 2002 ) . Card ( 2002 ) suggest that those adult females who are enduring from postnatal mental unwellness or psychosis, should non be classified as perverse female merely because they are non mentally capable of finding what is right from incorrect at the clip the y had committed a offense. Infanticide caused by postpartum mental unwellness and psychosis should neer be considered as an knowing offense. For this ground, the degree of legal penalty imposed on postpartum female parents who are accused of infanticide should be different from perverse female parents who are guilty of deliberately bring downing physical or sexual injury on their kids ( Card 2002 ) . West and Lichtenstein ( 2006 ) besides draw a good exaple of criminalisation of Andrea Yates instance who drowned her five kids in the bathing tub and was inicially convinced for capital slaying, who subsequently on was found guilty of insanity and finally was moved to province mental infirmary. Writers argue that society s myths and perceptual experiences about perfect mothehood plays a great function in womens lives and stigmatizes those who s behavoir is unnatural and aberrant. Aside from tabu and stigma, society besides do nt take into history the function of adult females ; s day-t o-day activities, which as writers argue, lead to dual displacement both at place and at work which frequently result in emotional and physical emphasis and therefore could escallate to slay of a kid ( West and Lichtenstein 2006 ) . Although it is possible that the act of idealising maternity could take to denial of female perversion, it is by no uncertainty that justness will ever predominate. Even though perverse female parents are capable of denying the act of harming their kids physically or sexually, the local governments can still garner concrete groundss from the victims of kid maltreatment in order to convict preserve female parents who are guilty of perpetrating a offense. Perverse female parents may continuously deny their act of female perversion, as in Andrea Yates instance due to delusional ideas about Satan, but they are non free from being lawfully punished for their socially unacceptable behavior. Rapaport ( 2006 ) suggests that when maternal infanticide is classified by head-shrinkers as a signifier of postpartum mental unwellness or psychosis, suspected female parents who are positive for postnatal mental unwellness or psychosis should be given the privilege to have psychiatric intervention ( Rapaport 2006 ) . In line with this, Spinelli ( 2004 ) extremely recommended the demand to do usage of formal DSM-IV diagnostic standards when size uping a suspected female parent for killing her baby and make up ones minding for the degree of penalty to be imposed on mentally sick individual ( Spinelli 2004 ) . Sing the fact, as Hetherton ( 1999 ) high spots, that idealisation of adult females could ensue to more under-reported instances peculiarly with respects to condemnable issues wherein female culprits would sexually mistreat a kid, criminologists together with the aid of societal workers and school instructors should continuously educate kids refering ways on how they can protect themselves from opprobrious parents including issues related to perverse female parents. By learning the victims of sexually and physically opprobrious parents on how they can describe such instances to the governments, the figure of victimization caused by perverse adult females is more likely to diminish over clip ( Hhetherton 1999 ) . Barnett ( 2006 ) and Motz ( 2001 ) , as noted antecedently, suggest that the factors which can trip female perversion include hormonal instabilities doing mental unwellness, the early exposure to maternal maltreatment and disregard, alcohol addiction, the usage of illegal drugs, and stress related to socio-economic jobs ( Barnett 2006 ; Motz 2001 ) . For this grounds, the sort of penalty imposed on adult females who are convicted of slaying their kids varies on instance to instance footing. Wilczynski ( 1997 ) notes that unlike work forces, the cosmopolitan feature of ideal adult females is inactive by nature. Since the populace s perceptual experience of adult females is characterized by muliebrity, there is a lesser opportunity wherein perverse adult females and female parents will be accused of bring downing physical and emotional injury on their kids. This is one of the chief grounds why it has been a common legal pattern in the United Kingdom that adult females who are found gui lty of killing their ain kids are most likely to have lesser penalty as compared to work forces ( Wilczynski 1997 ) . Up to the present clip, there is ongoing state of affairs wherein perverse adult females and female parents are sexually mistreating both male and female kids. Since the instances of female culprits are frequently left unreported and considered by society as rare, there is a hazard that the figure of perverse female and female parents who are on the loose will continuously mistreat kids either sexually or physically ( Peter 2008 ) . The legal system in the United Kingdom strongly recognizes the possible nexus between maternal mental unwellness with maternal infanticide and kid homicide. Since there are instances wherein perverse female parents and immature adult females who are convicted of slaying their kids are utilizing insanity as a defense mechanism for slaying or kid maltreatment, criminologists in UK should be able to larn more ways on how they can better their ability to distinguish perverse female parents from those female parents who are enduring from mental unwellnesss caused by postpartum. By head-shrinkers to beef up their ability to observe postpartum-related mental upset and psychosis, there is a higher opportunity wherein the accused perverse female parents will be able to have proper medical intervention and free themselves from the penalty of life-time imprisonment. As Raitt and Zeedyk ( 2004 ) suggest there is a really thin line that separates guiltless adult females from perverse adult females who are guilty of slaying or physically harming their ain kids. Sing the fact that idealisation of maternity can enable perverse adult females and female parents who has merely given birth to a babe to misdirect the governments by moving similar to female parents with postnatal mental upsets, criminologists should take it as a challenge to concentrate on finding the truth by garnering concrete groundss that will turn out whether or non perverse adult females or perverse female parents are guilty of a offense. To forestall false accusals or incorrect judgement, it is of import on the portion of criminologists to do usage of medicine intercession such as necropsy in order to find whether the decease of an baby was purpose or simply caused by unaccountable infant decease syndrome ( Raitt and Zeedyk 2004 ) . *** End ***

Colleges Requiring All SAT Scores Sent Complete List

Colleges Requiring All SAT Scores Sent Complete List SAT / ACT Prep Online Guides and Tips Are you putting together your college application list? One factor you might not have considered is which schools require you to send your entire SAT testing record.Unfortunately, you can't always hide your rotten SAT scores! So if youhave some less-than-stellar scores, you might avoid (or at least think carefully) before applying to those schools. We have a complete list of which schools require your complete SAT testing record. Read on for this list as well as exclusive advice for applying to these schools. Sending SAT Scores to Schools: All Scores vs.Score Choice Nearly all colleges require you to send at least one SAT or ACT score as part of your application for admission. But colleges differ on how they handle students with multiple sets of scores- for example, if you had two sets of SAT scores. Some colleges require you to send your entire testing record, even if that means sending not-so-great scores. (However, if you took the SAT in middle school or earlier as part of a talent-search program, you do not have to send those scores.) Other colleges do not require you to send your full testing record (though they often recommend it anyway). At these schools, you can take advantage of SAT’s Score Choice policy, which allows you to send only your best scores. So what happens if you want to apply to a college that requires all SAT scores? What could be the benefits and drawbacks of revealing your entire testing record? What Difference Could Sending All SAT Scores Make? You might be wondering why it matters if colleges see all of your SAT scores. Couldn't it help your chances of admission if colleges see your complete testing record, including your highest section scores? Indeed, colleges consider the entire testing history when it’s given, generally paying most attention to your highest scores achieved.However, when colleges specifically require you to send all of your scores, this means they're considering your lower scores as well. They aren't just looking for low scores and throwing your application out, but the higher all of your scores are, the better. Back when I was contacting colleges to conduct research forour new SAT investigation, I asked dozens of admissions officers if members of the class of 2018 could take the SAT and submit it for admission. This would mean taking the SAT early, during or before sophomore year. Many of the admissions officers cautioned against taking the SAT that young. â€Å"We’re still going to see those scores,† an admissions officer from Cornell told me, implying that potentially lower scores could, in fact, hurt your application. While I want to take colleges at their word that even if they require all scores they only look at the highest ones, they wouldn't require all scores to be sent unless they wanted to consider them all- including the lower ones. Whatever you do, don't wing the SAT. Careful preparation is key! How Does Sending All SAT Scores Affect Your Test-Taking Strategy? If you’re applying to schools that require all SAT scores, you need to be very careful each time you take the SAT because you will have to send any scores you get, even if they’re low. If you’re reading this and aren't sure which schools you’re applying to yet, we recommend taking a careful look at the schools that require you to send all scores. If any of the schools might be a top choice for you, adjust your test-taking policy accordingly. In general, we only recommend taking (or retaking) the SAT after you’ve studied and are certain you'll get a decent score. But you'll have to be extra careful if you’re applying to an â€Å"all scores† school. Don't take the SAT for the first time as practice,or to get used to the test. Colleges will see your "practice score." (Not to mention it's a waste of the money to take the test for this reason only!) We recommend taking the PSATyour sophomore and/or junior year to get the experience of taking the SAT and to receive a score without compromising your actual SAT score. Also, make taking strictly timed, full-length SAT practice tests part of your study regimen so that when you sit down to take the SAT for real, it won't feel as though it's your first time taking it. If you have to retake the SAT, be sure to continue to study for bothsections (Evidence-Based Reading and Writing, and Math),even if you're only trying to bring up one section's score. You wouldn't want the score from your other section to drop dramatically on a retake! For more tips on how to study effectively, read our guides onhow long you should study for the SAT and how to set an SAT target score. By keeping this advice in mind and only taking the SAT after careful studying, you should be able to apply to "all scores" schools without worrying about lower scores weakening your application. Notable Colleges That Require You to Send All SAT Scores Before we get to the complete list of colleges that require all SAT scores, we'll highlight some top schools you might be interested in. We include quotes from their admissions websites to give you an idea as to how serious they are about their scoring policies. Bold emphasis is mine. Georgetown University â€Å"Georgetown University does not participate in the Score Choice option available through the College Board. Georgetown requires that you submit scores from all test sittings of the SAT, ACT, and SAT Subject Tests. " University of California System â€Å"In the College Board's Score Choice module, ensure that all scores are sent to UC.We require all scoresand will use the highest scores from a single administration." This is the policy for all schools in the University of California system,including UC Berkeleyand UCLA. University of Pennsylvania Penn used to require all scores but has since altered its policy somewhat: "Although we permit Score Choice, we encourage students to submit their entire testing history for both ACT and SAT exams." Yale University "Applicants who have taken the SAT or ACT exam multiple times should report all scores from whichever test they choose to report. Applicants who choose to report scores from both the SAT and ACT should report all scores received on both tests." Want to learn more about the SAT but tired of reading blog articles? Then you'll love our free SAT prep livestreams. Designed and led by PrepScholar SAT experts, these live video events are a great resource for students and parents looking to learn more about the SAT and SAT prep. Click on the button below to register for one of our livestreams today! Complete List of Colleges That Require All SAT Scores Below is the complete list of four-year colleges and universities that require you to send all SAT scores, grouped by state. Look through this list carefully. If any of the schools here are your top choices, that means you need to be especially careful about SAT retakes. For a complete list of all colleges (including community colleges) that require all SAT scores, check out the official College Board PDF. School Name City State University of North Alabama Florence AL Southern Arkansas University Magnolia AR University of Arkansas at Little Rock Little Rock AR Mills College Oakland CA Point Loma Nazarene University San Diego CA Scripps College Claremont CA Soka University of America Aliso Viejo CA University of California, Berkeley Berkeley CA University of California, Davis Davis CA University of California, Irvine Irvine CA University of California, Los Angeles Los Angeles CA University of California, Merced Merced CA University of California, Riverside Riverside CA University of California, San Diego La Jolla CA University of California, Santa Barbara Santa Barbara CA University of California, Santa Cruz Santa Cruz CA University of Colorado Denver Denver CO Holy Apostles College and Seminary Cromwell CT Quinnipiac University Hamden CT Sacred Heart University Fairfield CT Yale University New Haven CT George Washington University Washington DC Georgetown University Washington DC Howard University Washington DC Delaware State University Dover DE Barry University Miami Shores FL DeVry University- Miramar Miramar FL Florida Agricultural and Mechanical University Tallahassee FL Hobe Sound Bible College Hobe Sound FL Southeastern University Lakeland FL Stetson University DeLand FL Fort Valley State University Fort Valley GA Wesleyan College Macon GA Chaminade University of Honolulu Honolulu HI Dordt College Sioux Center IA MacMurray College Jacksonville IL Olivet Nazarene University Bourbonnais IL Saint Xavier University Chicago IL Trinity Christian College Palos Heights IL Grace College Winona Lake IN Indiana Wesleyan University Marion IN Oakland City University Oakland City IN University of Saint Francis Fort Wayne IN Kansas Wesleyan University Salina KS University of Saint Mary Leavenworth KS Kentucky Christian University Grayson KY Grambling State University Grambling LA Louisiana State University of Alexandria Alexandria LA Louisiana State University Shreveport Shreveport LA Nicholls State University Thibodaux LA Saint Joseph Seminary College Saint Benedict LA University of Louisiana at Monroe Monroe LA University of Massachusetts Lowell Lowell MA Mount St. Mary's University Emmitsburg MD University of Maryland College Park MD Andrews University Berrien Springs MI Cornerstone University Grand Rapids MI Sacred Heart Major Seminary Detroit MI Oak Hills Christian College Bemidji MN Central Methodist University Fayette MO Saint Louis University St. Louis MO Blue Mountain College Blue Mountain MS William Carey University Hattiesburg MS University of North Carolina at Charlotte Charlotte NC Jamestown College Jamestown ND Mayville State University Mayville ND Grace University Omaha NE Richard Stockton College of New Jersey Galloway NJ Barnard College New York NY Cazenovia College Cazenovia NY City College of New York New York NY Colgate University Hamilton NY Cooper Union New York NY Cornell University Ithaca NY Hunter College New York NY Long Island University Brooklyn New York NY New York School of Interior Design New York NY Queens College (City University of New York) Flushing NY Syracuse University Syracuse NY United States Merchant Marine Academy Kings Point NY Wagner College Staten Island NY Art Academy of Cincinnati Cincinnati OH Cincinnati Christian University Cincinnati OH Cameron University Lawton OK East Central University Ada OK Rogers State University Claremore OK Southwestern Oklahoma State University Weatherford OK Western Oregon University Monmouth OR Carnegie Mellon University Pittsburgh PA Curtis Institute of Music Philadelphia PA Duquesne University Pittsburgh PA Indiana University of Pennsylvania Indiana PA Shippensburg University of Pennsylvania Shippensburg PA Susquehanna University Selinsgrove PA University of Puerto Rico at Cayey Cayey PR University of Puerto Rico at Humacao Humacao PR University of Puerto Rico at Ponce Ponce PR Columbia International University Columbia SC The Citadel Charleston SC Tennessee Technological University Cookeville TN Tennessee Temple University Chattanooga TN Dallas Christian College Dallas TX Howard Payne University Brownwood TX LeTourneau University Longview TX Midwestern State University Wichita Falls TX Rice University Houston TX St. Edward's University Austin TX Tarleton State University Stephenville TX Texas AM University College Station TX Texas AM University- Kingsville Kingsville TX Texas Wesleyan University Fort Worth TX University of Texas at Brownsville Brownsville TX Neumont University Salt Lake City UT Utah State University Logan UT Averett University Danville VA Castleton State College Castleton VT University of Washington Seattle WA Washington State University Pullman WA University of Wisconsin - Platteville Platteville WI Alderson-Broaddus College Philippi WV Fairmont State University Fairmont WV West Virginia University Institute of Technology Montgomery WV What’s Next? In addition to SAT and ACT scores, some colleges require you to send SAT Subject Test scores. Get a complete list of which colleges require SAT Subject Test scores. Not sure if you need to retake the SAT or ACT? Find out what a good, bad, or excellent SAT/ACT score is based on the schools you are applying to. If your score falls short, consider a retake. Need tips for studying? Get a rundown of the overall best strategies to use for the SAT. For SAT/ACT resources, check out the best SAT/ACT study websites you should be using. Want to improve your SAT score by 160 points?We have the industry's leading SAT prep program. Built by Harvard grads and SAT full scorers, the program learns your strengths and weaknesses through advanced statistics, then customizes your prep program to you so you get the most effective prep possible. Check out our 5-day free trial today: